Indiana Health Centers, Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

INDIANA HEALTH CENTERS, INC

Doing business as

IHC Four County at Rochester

Practice address

401 E 8TH St Ste a
Rochester, IN 46975-1444

Phone

(317) 576-1335

Fax

(317) 576-1339

NPI assigned

Oct 30, 2020

Last updated

Oct 30, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Tracy Nagel

Title

Cfo

Phone

(317) 576-1335

Specialties & licenses 2

Addresses

Other names 1

• IHC Four County at Rochester Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1376143198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8003 CASTLEWAY DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501946",
            "telephone_number": "317-576-1335",
            "fax_number": "317-576-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E 8TH ST STE A",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "469751444",
            "telephone_number": "317-576-1335",
            "fax_number": "317-576-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA HEALTH CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "NAGEL",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "317-576-1335",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IHC Four County at Rochester",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eileen Rodriguez Hsu, M.D.
• Wade Hsu, MD
• Gary R Hudson
• Catherine Hughes
• Christina Joanne Hughes, ATC/LAT, OPA-C
• Janet S Ingram, LCSW
• Polly Von Irwin, DOCTOR OF CHIROPRACT
• Risler Jean
• Jennifer Joan Johansen, BS
• Jennah Johnson

• Federally Qualified Health Center (FQHC) in Rochester, IN
• Providers in Rochester, IN by specialty
• Federally Qualified Health Center (FQHC) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.